摘要
①目的探讨冠心病患者自我管理行为对其远期生活质量的影响。②方法采用一般情况调查表、冠心病自我管理量表、中国心血管病人生活质量评定问卷,对河北省3家三级甲等医院1182例出院1年后的冠心病患者进行调查。③结果冠心病患者自我管理总分为(52.10±14.59)分,远期生活质量总分为(60.25±15.18)分。多元逐步回归结果显示:日常生活管理是体力、病情、医疗状况、一般生活、社会心理和远期生活质量水平的影响因素(P<0.05),疾病医学管理是社会心理、工作状况和远期生活质量水平的影响因素(P<0.05),情绪管理是体力、病情、一般生活、社会心理、工作状况和远期生活质量水平的影响因素(P<0.05)。④结论冠心病患者自我管理和远期生活质量处于中下等水平,自我管理行为对远期生活质量有显著影响。护理人员应制定有针对性的自我管理教育,改善患者的远期生活质量。
Objective To explore the effect of self-management behavior on long-term life quality of patients with coronary heart disease.Methods 1182 patients with coronary heart disease(CHD)were investigated one year after discharge from a grade III level a hospital in Hebei province by general information questionnaire,coronary heart disease self-management scale and China questionnaire of quality of life in patients with cardiovascular disease.Results The total score of self-management and long-term life quality of patients with coronary heart disease was(52.10±14.59)and(60.25±15.18).Multiple stepwise regression results showed that daily life management is physical,illness,medical conditions,general life,social psychology and the influence factors of long-term life quality level(P<0.05),medical management is the social psychological disease,work status and forward the influence factors of quality of life level(P<0.05),the emotion management is physical,condition,general life,social psychology,work status and forward the influence factors of quality of life level(P<0.05).Conclusion The self-management and long-term life quality of CHD patients are in the middle or lower level,the self-management behavior has a significant impact on the long-term life quality,nursing staff should develop targeted self-management education,improve the long-term life quality of patients.
作者
于淼
王建辉
赵彩杰
董建秀
马佳慧
贾玉娜
YU Miao;WANG Jianhui;ZHAO Caijie(North China University of Science and Technology,Tangshan 063210,China;不详)
出处
《华北理工大学学报（医学版）》
2020年第1期24-28,共5页
Journal of North China University of Science and Technology：Health Sciences Edition
关键词
冠心病
自我管理
远期生活质量
Coronary heart disease
Self-management
Long-term life quality
